The iDes of March: Utilizing Technology to Promote Life-long Learning


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  • Ides of March: half way through month; day JuliusCeaser killed
  • The long Buf->Roc drive
  • VARK: is the way people prefer to learn
  • Start with talking about written -> usually the way we have learned to learnB/c we are all familiar w/ typical ways of looking up info (books, look at major journals, etc), won’t spend time doing thatHowever, in an age where efficiency is key, and getting info as quickly as possible as helpful, but also needs to be digestableAlso, helpful to have a format that can used in a variety of settings, including walking the long hallways of the hospital
  • Called “RSS feeds”Precursor to facebook and Twitter to keep up-to-date with thingsOften can tell by the iconThese feeds are not limited to just medical things – many websites have them to help people keep up to date
  • I’ll briefly show the different ways to view info, then show an example of what this is really all aboutDifferent ways to actually get infoMost of these programs are free – honestly, have not tried many of them but these have been reviewed as the best of what’s out thereBenefit of websites – can access same list from anywhereBenefit of programs – allow for downloading for offline reading
  • Example from Google ReaderLook on left – can set up folders to organize categoriesLook on Right – the actual content (go to next slide to show AJP ex)
  • Here are the links for the feeds – just type in the following links in “subscription” for feeds and voila, addedChanged links: oldAJP: Services:
  • Old link:Academic Psychiatry:
  • Audio typically isn’t used much, and for many things it may not be as practicalAgain, though, with any type of commute it can be quite useful (or for those that like to listen to things educational while exercising)
  • How many people here have heard of Podcasts…and are actually familiar w/ what they are?So – like the RSS feeds, it can be set up as a subscription that automatically updatesOriginally sound, now also videoUnfortunately for psych, not a lot of great optionsI searched for “psychiatry,” “psychology,” and “mental health” for the following results, as well as looked at the recommendations through iTunes for each of the following podcastsAnd sorry, I realize that for those who are not huge iTunes fans this is not as ideal, but realistically it really is the best (and sometimes only) place to get these
  • Honestly, JAMA and NEJM are some of the best out there
  • We might be talking about audio, but I’m a visual person, so to give some perspective, this is how it all comes togetherWe’ve already talked about some written forms, but let’s say we want to make it into audio(Starting on left) – everything once was paper, and especially some older texts can be hard to find in electronic form – as such, paper needs to be scanned into a digital form(Going to right) – now that we’re in digital form, there are 2 main categories – those things that can be edited and those that can notSo – if going wi/ something that cannot be edited (or copy/pasted), need to use OCR to convert into a digital, editable docAt this point, you have more options of what to do with the file since it’s fully digital/editable – so even if you don’t want to make into audio, helpful perhaps to have a digital copy of previous paperFrom there, it’s similar to (the box on far right) So, we have to then use software that converts the text to words
  • I’m actually going to start with the easier way to make audio from text, and then we’ll get into the slightly more complicated way for those files that are not digital/editableThis is like that computer speech from the iphone/htc clip in beginning - Originally was really awful, but now has become much better (thing of a Garmin) – still not totally natural, but not so monotone as to be painfulAgain, different options b/w websites and actual desktop programsI have not tried out the desktop computers, but per others who have, are somewhat faster and may offer more voice databasesHowever, I’ve used the website YAKiToME and have found it easy, free, and convienent b/c it’s also accessible from anywhere, and can download directly to iPhone for listening
  • Many options!
  • Now, let’s walk through step by step how to do thisB/c of not being sure of internet availability, I took screenshots blow by blow to show the processThis is the main page
  • Here, it might make more sense to invest in actual program
  • Network drives
  • The founding fathers recognized that the science and arts would benefit from allowing an artist to control rights and derive an economic benefit from the work created. This is contrary to many user groups who now argue that the arts and sciences would progress by allowing users unfettered access to artist’s works without permission.
  • The iDes of March: Utilizing Technology to Promote Life-long Learning

    1. 1. Michael Scharf, MDAssistant Professor of Psychiatry and Pediatrics Peter Martin, MD, MPH Child and Adolescent Psychiatry Fellow University of Rochester
    2. 2. Disclosure Statement Dr. Martin and Dr. Scharf do not have any financial disclosures related to this presentation
    3. 3. Access to Slides Viewable slideshow: Downloadable PDF:
    4. 4. Overview Our personal experience Review of learning theory Review of written resources Review of audio resources Demonstration of creating audio resources Review of shared information technologies Review of copyright concerns Discussion of implementation into real life
    5. 5. Inspiration Source:
    6. 6. Inspiration
    7. 7. Howard Gardner’sMultiple Intelligences Theoryintelligence type capability and perceptionLinguistic words and languageLogical-Mathematical logic and numbersMusical music, sound, rhythmBodily-Kinesthetic body movement controlSpatial-Visual images and spaceInterpersonal other peoples feelingsIntrapersonal self-awareness Source:
    8. 8. Learning Theory VARK: Visual, Aural, Read/write, Kinesthetic  Visual: ex. Maps, charts, graphs, diagrams  Does NOT include movies, PowerPoint  Aural: listening as well as talking out problems  Read/write: information as words  Includes notes, PowerPoint  Kinesthetic: prefer reality  Experience, simulation Multimodals: prefer more than one type, or different types in different situations Source:
    9. 9. Learning Theories We all learn in unique ways May have one style of learning that is better suited for an individual Likely have maximum benefit from combining different forms of learning
    10. 10. Evidence Based Teaching Sounds cool, even intuitive in 2011 Like practicing EBM, there are significant challenges...
    11. 11. Evidence Based Teaching Sounds cool, even intuitive in 2011 Like practicing EBM, there are significant challenges...  Retraining teachers  Defining outcomes  Learner Satisfaction?  Increase knowledge base?  Change Behavior?
    12. 12. Evidence Based Teaching Sounds cool, even intuitive in 2011 Like practicing EBM, there are significant challenges...  Retraining teachers  Defining outcomes  Learner Satisfaction?  Increase knowledge base?  Change Behavior - Skills Training
    13. 13. Skills Training, But How?“Evidence-based Teaching” Methods Written guidelines, CMEs, and “hit and run” workshops and lectures are generally ineffective Training needs to focus on skills (not factual knowledge), and must address obstacles encountered in practice Training must use collaborative learning partnerships, vs. “one-down” relationships, & use role models like those being trained
    14. 14. Recommended methods for assisting health care providers in adopting EBPs: Survey of 50 national MH experts Training Method Mean SD Median ModeReading 3.00 1.61 3 3Brief video-based 4.12 2.48 4 1trainingSupervisor 4.58 2.09 5 5consultationDidactic workshops, 4.89 2.69 5 6no follow-upConsultation with 5.89 2.40 6 6expertsHands on workshops 8.45 1.35 9 9with follow-up 1 = not at all recommended, 9 = highly recommended
    15. 15. Skills Training, But How?“Evidence-based Teaching” MethodsTo be effective, skills training should “keep it light,”make frequent use of humor, and switch betweendifferent learning modes: hands-on practice, roleplays, panels, Q&A sessions, skits, and friendlycompetition among small groups, etc.
    16. 16. How to recognize the moods of an adolescent HAPPY DEPRESSED EXCITED ANXIOUS MANIC SUICIDAL
    17. 17. REACH Skills Training Approach Hands-on, with role plays and extensive practice Intensive training of trainers Essential use of PCP “role models” as trainers 2 day’s face-to-face training with 15-30 clinicians, with 2-3 trainers, followed by: 6-12 months of twice-monthly phone call consultation and support, 1-1.5 hours/call Individual case presentations, with learning and risk- taking shared among peers
    18. 18. RSS (Really Simple Syndication) Definition: a family of web font formats used to provide subscribers with frequently updated information. Format allows distributing contents without the need of a navigator, by means of software designed to read RSS (aggregator) comments Source:
    19. 19. RSS “Readers” Websites:  Google Reader  NewsGator Programs  Windows  Browsers (Internet Explorer, Mozilla FireFox, Google Chrome)  NewzCrawler  FeedDemon  Omea Reader  Mac  Browsers (Safari, Mozilla FireFox, Google Chrome)  Shrook  NetNewsWire  NewsFire
    20. 20. RSS Mobile  Google Reader  iOS  Reeder  Newsrack  Feeddler  Android  gReader  NewsRob  FeedR
    21. 21. Google Reader
    22. 22. RSS Feeds – General Psychiatry American Journal of Psychiatry (AJP)  Archives of General Psychiatry  Annals of General Psychiatry  Current Psychiatry  Psychiatry Services  The British Journal of Psychiatry 
    23. 23. RSS Feeds – Subspecialties Journal of the American Academy of Child and Adolescent Psychiatry (JAACAP)  Psychosomatics  Biological Psychiatry  ent.rss Journal of Neuropsychiatry & Clinical Neurosciences  Academic Psychiatry 
    24. 24. RSS Feeds - Psychology Annual Review of Psychology  mu4&mi=3fndc3&ai=s1&jc=psych=etoc&feed=rss Psychological Bulletin  Psychological Review  Behavioral and Brain Science  0.xml
    25. 25. RSS Feeds – Other SpecialtiesGeneral Medicine Journal of the American Medical Association (JAMA)  New England Journal of Medicine (NEJM)  The Lancet  Annals of Internal Medicine  British Medical Journal  Pediatrics  Archives of Pediatrics  Neurology  Archives of Neurology  Annals of Neurology  The Lancet Neurology  Journal of Child Neurology 
    26. 26. Lessons Learned Very convenient and efficient way to obtain overviews of a large amount of information Some journals better than others to maximize usefulness of feeds (i.e. amount of information provided) Different readers offer varying levels of convenience Can be difficult to keep track of what has been read Need to be proactive in order to keep useful articles/abstracts organized Links may change over time
    27. 27. Audio Resources Pre-recorded  Podcasts User generated  From text resources
    28. 28. Podcast Definition: “series of digital media files (either audio or video) that are released episodically and often downloaded through web syndication” All of the following are available through iTunes  Simply search for title of podcast and can then download through iTunes  Also: iTunes U Source:
    29. 29. Based on Journals American Journal of Psychiatry Audio  Great summarization of each month’s articles The Journal of Clinical Psychiatry: Publisher’s Podcast The Journal of Neurology, Neurosurgery, and Psychiatry Source:
    30. 30. Podcasts Psychiatric Times  Interesting highlights, but hit and miss Medscape Psychiatry (& Mental Health) Podcast Miscellaneous  My Three Shrinks (by Shrink Rap)  Psychiatry Today  Psychiatric Secrets Revealed by Dr. Mike  Power Without Pills: One Psychiatrist’s Guide to Healing and Growth  Psychiatrist and Physiatrist  Institute of Psychiatry  Shrink Zone  Conversations about Mental Illness
    31. 31. Podcasts Biggest problem: most are not updated  MedscapeCME Psychiatry (& Mental Health) Podcast  PeerView Psychiatry CME/CNE/CPE Audio Podcast  Also includes accompanying PDFs  MGH Psychiatry Academy  MUSC Mental Health Podcast  Psychiatry Grand Rounds from the UCLA Semel Institute  MDPU Podcast: Mood Disorders Psychopharmacology Unit – University of Toronto  The Centre of Excellence in Interdisciplinary Mental Health
    32. 32. Podcasts from Other Specialties Journal of the American Medical Association (JAMA) New England Journal of Medicine (NEJM) The Lancet Neurology
    33. 33. Lessons Learned If available, can be a useful adjunct to learn material  But lack of/consistent availability is major concern Different podcasts vary GREATLY in terms of quality and usefulness Different podcasts utilize different approaches, which may appeal to different types of learners  Some summarize all or the main articles of the current issue  Some take one article/theme and discuss more thoroughly, including interviews with authors
    34. 34. TextPaper Digital Previously Original digital scanned article file, editable (i.e. Word document)Scan PDF without PDF with copy/paste copy/paste functionality functionality Optical Character Recognition (OCR) Software Text To Speech (TTS) Software Audio
    35. 35. Text To Speech (TTS) Definition: “The ability of the computer to convert text into spoken words” Voice Databases  AT&T Natural Voices  Acapela  RealSpeak  Cepstral Websites  YAKiToMe! (  From Text To Speech (  ( Programs  NaturalReader  Neospeech  TextAloud Source: AppleHIGuidelines/XHIGGlossary/XHIGGlossary.html&rct=j&sa=X&ei=iBbHTaKqNIrn0QGduOGYCA&ved= 0CC8QngkwAA&q=Text+to+speech&usg=AFQjCNEBi_pvhL6AlMAMs_8BZt94n61X9w
    36. 36. Voice Databases Source:
    37. 37. From Text To Speech
    38. 38. Lessons Learned Effective way to learn straightforward information (most journal articles) Not very effective for more complex articles (such as classic readings) Computer-generated voice actually not bad – helps to change speed to “fast” to make less monotonous
    39. 39. Optical Character Recognition Definition: “the electronic identification and digital encoding of printed or handwritten characters by means of an optical scanner and specialized software” Websites  Free Online OCR (  NewOCR (  Free OCR (  OCR Terminal (  Instant OCR (  Online OCR ( Programs  Microsoft OneNote 2007  Microsoft Office Document Imaging  Omnipage  ABBYY FineReader  SimpleOCR  TopOCR  FreeOCR Source:
    40. 40. Free Online OCR
    41. 41. Lessons Learned Paid-for program most likely would be more beneficial to save time (can easily do multiple pages with less effort/more quickly)  Again, pay for what you get – websites can change overnight Programs work surprisingly well even with poor quality scans Can be useful even if not desiring audio text but want an editable digital version of old articles/text
    42. 42. Dangers? No evidence from the literature of an increase in accidents of listening to audio learning programs  Only increase in danger if loud or unexpected  Distractibility seems to be the key issue  Long history of asking if radio was on/turned up after an accident – so be cautious! Source:
    43. 43. Video Recorded Lectures Webinars Video Conferencing “Produced” Video Teaching Tools
    44. 44. What is she looking at?
    45. 45. Shared Drives Advantages  Administered through university/hospital system  Convenience of having full IT support Disadvantages  May not be able to access from home or other work computers  Can be expensive to set up and maintain  Often very limited amount of space
    46. 46. Blackboard
    47. 47. Cloud Storage Definition: “provision of computational resources on demand via a computer network” Advantages  Easy access from multiple computers  Off-site access Disadvantages  Security concerns  May not be able to access depending on company firewalls  Do not “own” the files Source:
    48. 48. Dropbox Supported on multiple platforms:  Desktop: Windows, Mac, Linux  Mobile: iPhone, iPad, Android, Blackberry Also can access files through web browser Free registration: 2 GB storage Can set up both personal accounts/folders as well as shared folders
    49. 49. Cost/Benefit Benefits:  Potentially decrease paper usage  Digitized format helps preserve and potentially organize information Costs:  Time consuming  Shift costs to trainees?
    50. 50. Copyright Copyright law based on Article 8 of Constitution: gives Congress the power to enact laws “to promote the progress of science and useful arts, by securing for limited times to authors and inventors the exclusive right to their respective writings and discoveries.” US Copyright Act can be found in 17 United States Code Source:
    51. 51. Protected by Copyright Essentially everything  Text  Pictures  Music  Video
    52. 52. Not Protected by Copyright Ideas Short phrases
    53. 53. Teaching “Fair Use” doctrine: allows limited copying of copyright material for educational or research purposes (“reasonable and limited portions”)  Translation: Cannot copy an entire text for distribution in class (including textbooks) TEACH Act (2002): allows usage of teaching materials both in-person as well as for distance learning  However, for distance learning, may have to pare down/limit usage (think using clips)  Only applies to accredited nonprofit educational institutions  Only covers works that would be used IN CLASS (though fair use doctrine may still apply for outside of class) Source:
    54. 54. Viewable slideshow: Downloadable PDF: Contact InformationMichael Scharf: Peter Martin: